Excess charges to Medicare

A Medicare Excess Charge is an additional fee that may be charged by healthcare providers who do not accept Medicare assignments. When a healthcare provider accepts a Medicare assignment, they agree to accept the Medicare-approved amount as full payment for their services. Some healthcare providers may choose not to accept Medicare assignments and may charge up to 15% more than the Medicare-approved amount for their services. This additional amount is known as a Medicare Excess Charge, and it is the responsibility of the beneficiary to pay this additional expense.

While Medicare Excess Charges are not common, they can result in higher out-of-pocket costs for beneficiaries who receive care from non-participating providers.

It's recommended that beneficiaries check with their healthcare providers and Medicare representatives to ensure that they understand their coverage options and potential costs before receiving healthcare services.

MedHelpCenter.us recommends that you call the Senior Health Insurance Agency at 813-592-8568 for further explanation.